Episode 14: Nipple Graft, an Innovation in Breast Reconstruction

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New innovations are born out of passion, vision, clinical trials, and a scrupulous process of providing patient safety. In this episode of the DiepCJourney podcast, I speak to Billy Heim, COO of BioAesthetics. He is part of a team who developed an innovation in breast reconstruction, the NAC Graft, nipple areola complex graft. Here is the summary of Episode 14: Nipple Graft, an Innovation in Breast Reconstruction, of the DiepCJourney podcast. I am joined by Minas Chrysopoulo, MD, FACS, an internationally recognized expert in breast cancer reconstruction and shared decision making. He is president of PRMA (Plastic Reconstructive Microsurgical Associates). Dr. Chrysopoulo founded Toliman Health and is the creator of Toliman’s flagship app, Breast Advocate®, the world’s first shared decision-making app for breast cancer treatment and breast reconstruction. Saving the Nipple/Areola in Breast Surgery Dr. Chrysopoulo points out that a lot depends on the specific diagnosis. If there is an Continue Reading →

Staying Connected in 2022

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We have rolled over another year of the calendar. Living through two years of a global pandemic has not been easy for any of us. There are traits we have learned about ourselves we did not know we were capable of, like patience and persistence. None of us anywhere on Earth were prepared to deal with all the rapid changes we continue to make because of the pandemic. And yet we have somehow stayed connected. I feel so strongly and see such immense value in staying connected in 2022. Staying Connected Through social media Whether you have one social media account or many, whether you have actually met your social media friends in person or not, Twitter, Facebook, Instagram, LinkedIn, and others, these platforms connect us in valuable ways. I think there are two important questions to ask yourself when using social media. The answer to question number one should Continue Reading →

Is Compassion an Action?

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I promised a dear friend I would write a blog on this topic after a conversation we had online one morning while sipping coffee. We spoke about the numerous ways folks have been off put by the circumstances we have all encountered over the past two years during the global pandemic. It seems fitting to write the blog during the holiday season and ask ourselves the question, is compassion an action? Compassion and the Origin of the Word We think of the word compassionate as being a verb. But the full meaning of the word “compassion” from Meriam’s dictionary states the definition of compassion as a “sympathetic consciousness of others’ distress together with a desire to alleviate it. I can see defined compassion as an action. Have you Ever been Called to Show Compassion Lately? A recent example I encountered myself happened this past week when I stood in line Continue Reading →

My DIEP Flap Breast Reconstruction Seven Years Later

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This morning I began my usual morning routine. I am an early riser. I open my laptop, check my phone for messages, begin sorting out emails to respond to, and begin my workday. But this morning marks a day on my calendar I never forget, or more appropriately, always remember. December 1, 2014, I was sitting on a gurney being marked up for my DIEP flap breast reconstruction. Writing about my DIEP flap breast reconstruction seven years later? How is that possible? Where did the time go? The Days and Months Leading up to my DIEP Flap My coffee is fresh and warm. Thoughts flood through my mind as I recall the events of the morning I showed up at the hospital. Yes, I showed up. But boy did that take a lot of decision making, planning, and a strong dose of physical and emotional fortitude in the days leading Continue Reading →

How Are you Feeling Toward the End of The Year?

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Are you feeling anxious? Peaceful? Introspective? Determined to roll into the New Year with some novel ideas and changes in your life? It is the time of year when we can feel any, and all of these emotions and they can change within a moment, a day, or a week because of an unexpected circumstance. As we roll into the month of December, it is time to ask, how are you feeling toward the end of the year? End of the Year Holiday Celebrations There are holiday celebrations in December like Hanukah, Christmas, Kwanzaa, Las Posadas, and similar celebrations around the world. I recall the excitement of children in my classroom during my years as an ESL teacher honoring each of these holidays. Students loved learning and experiencing the difference and similarities in all of the holidays. This was during a time when families were allowed and felt comfortable bringing Continue Reading →

The Most Difficult Part About Deciding to Have DIEP Flap Breast Reconstruction

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I always appreciate hearing patient stories and true feelings about why women choose to have DIEP flap breast reconstruction. The decision is not an easy one to make with many factors involved. I recently asked the women of the private Facebook group DiepCJourney, what was the most difficult part about deciding to have DIEP flap breast reconstruction. Here is what they shared. Consideration of Family and Work During Diep Flap Breast Reconstruction Many women who choose to have DIEP flap are mothers, wives, and working full time either at home or outside the home. Imagine their thought process prior to surgery. “How will I handle activities of daily life knowing I will have incisions from hip to hip and at my breast area?” For women with children there are going to be limitations from those activities we do frequently as mothers, bending, lifting, and twisting. When we are used to Continue Reading →

How to Prepare for and Have a Shared Decision-Making Conversation

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Terri Coutee and Minas Chrysopoulo, MD FACS Shared decision-making occurs when your doctor (or any healthcare professional) collaborates with you to make the best healthcare decision. The optimal decision takes into account evidence-based information about the available treatment options, the clinicians’ knowledge and experience, and any factors you value in your decision-making. The patient brings their preferences, goals, lifestyle, support structure, …whatever they feel is important to them in making a decision. The physician brings evidence-based information and their expertise. Together, they find the “sweet spot” in the middle. Our aim is to offer recommendations for patient and healthcare professionals to prepare for and have a shared decision-making conversation. Most patients prefer this collaborative approach over deferring treatment decisions completely to their doctor. Unfortunately, in many cases patients may be reticent to initiate this type of conversation or simply don’t appreciate that they can. In reality, if the clinician doesn’t Continue Reading →

Creating Community to Promote Shared Decision-Making

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Throughout ancient history, we have gathered in communities to share stories. Stories change lives, change communities by connecting us with familiar human experiences. They can also elicit a call to action. Think back to a moment sitting around a family table, campfire, or standing on a neighborhood corner listening to someone’s story. Did it leave you with a lasting memory, provoke personal change, or inspire a call to action changing the trajectory of your purpose in life? How do we measure the value of creating community to promote shared decision-making? Authoring My Own Story Became My Call to Action My life changed by sharing my own story. I began writing a blog in early 2015 about my second breast cancer diagnosis that occurred in April of 2014. Seven months after a double mastectomy I had successful DIEP flap breast reconstruction using my own tissue. My surgery was performed by a Continue Reading →

WHIS Talks: Global Healthcare Thought Leaders Discuss Patient Empowerment and Shared Decisions

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Can we take concepts in healthcare and make them customary practice to improve patient care and outcomes by advancing patient empowerment and shared decisions? I invite you to consider this question yourself after watching the video and reading the summary from this session of WHIS Talks as global thought leaders discuss patient empowerment and shared decisions. Terri Coutee: Nonprofit Leadership and Shared Decisions I am a two-time breast cancer survivor who had successful DIEP flap breast reconstruction. As a trained ESL instructor turned nonprofit leader after my second breast cancer diagnosis, I appreciate the need for clear communication and understanding of language. In cancer care, patients must quickly absorb concepts and terms they have no knowledge of or intended to know about. Curating communities and discussion based on evidence-based medicine is an important aspect of cultivating the patient process helping them to understand the plethora of terms to use in Continue Reading →

Episode 16: Options for Breast Reconstruction after Mastectomy

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When a person faces a mastectomy due to breast cancer, they have options to reconstruct their breasts. The options include using an implant, using the patients own tissue, or choosing to remain flat with aesthetic flat closure. Dr. Steven Pisano of PRMA, Plastic Reconstructive Microsurgical Associates, in San Antonio, Texas discusses all the options for breast reconstruction after mastectomy in Episode 16 of the DiepCJourney podcast. The Voice of an Expert in Breast Reconstruction after Mastectomy Dr. Pisano is one of the original founders of PRMA in San Antonio. He started the practice in 1994 with partner Dr. Peter Ledoux to serve the San Antonio area with general breast reconstruction surgery. Since that time, they will be on track by the end of 2021 to perform over ten thousand flap breast reconstruction surgeries for patients from all over the world. They now have a team of eight highly skilled microsurgeons Continue Reading →